| NPI | 1659666097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343249-1) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430589-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 343249) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2021-10-18 |